Search › Idaho › 207XP3100X
Justin Roth, D.O
NPI 1306109954 · on the registry since 2012
Practice
- Address
- 3399 E Louise Dr Ste 200
Meridian, ID 83642 - Phone
- (208) 706-2663
- Organisation at this address
- Boise Surgical Group
St Lukes Regional Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 2200 Ne Neff Rd Ste 200, Bend, OR
- 4625 Lindell Blvd, Suite 420, St. Louis, MO
Registry record
- Primary taxonomy
- 207XP3100X
207XP3100X
- Also registered as
- 207XP3100X
- Licence states on file
- ID, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho